English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Objective: To assess mortality, medical complications, and care indicators among stroke patients admitted to general medical units at King Abdulaziz Medical City-Jeddah-Saudi Arabia. Methods: This retrospective cohort study included all adult patients (>16 years) admitted to KAMC-Jeddah between January 1, 2014, and June 30, 2015, with acute stroke. Data regarding in-hospital stroke mortality and medical complications (pressure ulcer, pneumonia, venous thromboembolism dysphagia, and wheelchair dependency) and stroke care indicators (time-to-CT, carotid imaging, lipid profile, physical therapy, swallowing assessment, nutritional assessment, and length of stay) were collected. Results: Patients included were 208. Acute stroke mortality was 19%, while wheelchair dependency, and dysphagia on discharge were 39% and 56% respectively in general medical units. The incidence of pressure ulcers, pneumonia, and venous thromboembolism was 17%, 14%, and 3%, respectively. Pneumonia (odds ratio [OR], 5.5; P = 0.002; 95% confidence interval [CI], 1.9–16), abnormal troponin level (OR, 4.4; P = 0.002; 95% CI, 1.7–11), hemorrhagic stroke (OR, 3.9; P = 0.015; 95% CI, 1.3–12), and pressure ulcers (OR, 3.0; P = 0.036; 95% CI, 1.1–8.0) were significantly associated with increased mortality. Median time to CT scan was 117 minutes. Carotid imaging was performed for 67% of ischemic stroke patients, and 65% underwent fasting lipid profile assessment. Assessment by nutritionist, physiotherapist, and swallowing therapist was done for 90%, 76%, and 53% of stroke patients respectively. The median length of stay was 12 days. Conclusion: Acute stroke mortality was 19 %, while wheelchair dependency, and dysphagia on discharge were 39% and 56% respectively in general medical units at KAMC Jeddah. Pneumonia, abnormal troponin, hemorrhagic stroke, and pressure ulcers are associated with increased mortality. Future research is needed to compare outcomes of stroke care between general units and specialized stroke units nationally. DOI : 10.14302/issn.2470-5020.jnrt-16-1200 Freely Available Online www.openaccesspub.org | JNRT CC-license DOI : 10.14302/issn.2470-5020.jnrt-16-1200 Vol-1 Issue 3 Pg. no.32 Introduction: Stroke is a major concern for public health authorities since it is the third leading cause of death and the first leading cause of disability globally. (1) The annual incidence of stroke in Saudi Arabia is 29.8, while the prevalence is 186 per 100,000 population. (2) In order to improve the quality of care for stroke patients, a comprehensive and continuous assessment of the care provided is needed to identify and address gaps in the delivered services. (3) Recent literature reviews of stroke in Saudi Arabia have urged for more research in this field nationally. (4, 5) The objectives of the present study were to assess mortality, medical complications, and care indicators among stroke patients admitted to general medical units at King Abdulaziz Medical City in the western region of Saudi Arabia (KAMC-Jeddah).

Mortality, Medical Complications, And Care Indicators Among Stroke Inpatients At King Abdulaziz Medical City-Jeddah-Saudi Arabia